HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTED p
Date:'' -Pa )-Zr Permit Number: „ 5St. UdP8 COW a
SCANNED WiL
FY
Building Permit Application AUG 2018
PlannjIng and Development Services Per
1tt11^1g Do � �
Bu'Idi��g and Code Regulation Division St• Lucie �73ent
2300'/irginia Avenue, Fort Pierce FL 34982 Coil�r hL
Phoril : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER I� IT APPLICATION FOR: Gas tank
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PRO I.OSED IMPROVEMENT LOCATION:
Addre �s: 7273 S Indian River Dr
Legal I� escription: 7 36 41 S 150 FT of S 11.75 AC of N 24.75 AC of Fract Sec with Rip Rights
Propel y Tax ID #: 3507-332-0003-000-6 Lot No.
Site P'an Name: Block No.
Proje -�It Name:
Setb Icks Front Back: Right Side: Left Side:
DET I� ILED DESCRIPTION OF WORK:
Connect existing gas line to generator and final connect
CONSTRUCTION INFORMATION:,
itiona wor to e performedunder this permit— check a apply:
�I� HVAC LJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
1, Electric 0 Plumbing ❑Sprinklers ElGenerator E]Roof Roof pitch
Tota 'Sq. Ft of Construction: S Ft. of First Floor:
Cost I f Construction: $ -1 �' Utilities: OSewerElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
III Name King
Name: Blake Cowdell
Add ess:7273 S Indian River Dr
City Fort Pierce State: FL
Zip Code: 34982 Fax:
Pho I No.772-201-1130
Company: Energized Gas
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-
Fill it
fro
iail:
fee simple Title Holder on next page ( if different
I' the Owner listed above)
it
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUP'LEMENTA•L
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a m
Ginger King
Name: Blake Cowdell
Ad d r
Ad d ress: 7273 S Indian River Dr
ss: 7273 S Indian River Or
q
Fort Pierce State:
City.
City: Fort Pierce State:
Zip: J
Phone
it
Zip: Phone:
FEE 91IMPLE
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Nam 11
_
:
Name:
Add r
'ess:4252Bandy Blvd
Address:
City: it
City:
Zip: Phone:
Zip: II Phone:
II
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certl that no work or installation has commenced prior to the issuance of a permit.
St. Luc: County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fol owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access iry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
�
imprcllements to your property. A Notice of Commencement must be recorded and posted on the jobsite
lender before
before the first inspection. If you intend to obtain financing, consult with or an attorney
p com encin work or recording our Notice of Commencement.
(1h4 A J
Sigff ture of Owner/ Lessee ontrac or as Agent for Owner Signature of Contractor/License Holder
STARE OF FLORIDA STATE OF FLORIDA II ay
e, �t
COI NTY OF I �i/� -i COUNTY OF A
The Forgoing instrument was acknowled efore me The forgoing instrument was acknowledged efore me
20 by
this day of r Us+ 20 by this � day of � S� ,
NO1
Name of erso makin statement =a a Name of per o aking statement I°a m�
P g
OR Produced Identificat' Personally Known OR Produced Identification
Per onally Known n��:°�.. ��;.�
Typ of Identification D Type of Identification g o fD
Produced � 0 r- Produced ` 3
23
Lc3o(n C-o
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(Sig atu a of Notary Public- State of Florida) c =' 0 o n Signat a of Notary Pu lic- State of Florida) N `; C o
N Gi .yam N X to
CO mission No. (Seal) ^' x N d Cl) Commission No. (Seal) V `
W coo Q D y A
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R UIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA E
RECEIVED
DA E
CO PLETED
Rev.
/2/17
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